Individual
DR. GLEN DAVID GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
774 CHRISTIANA RD STE 201A, NEWARK, DE 19713-4221
(610) 566-0501
(610) 566-0502
Mailing address
PO BOX 594, WESTTOWN, PA 19395-0594
(610) 566-0501
(610) 566-0502
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
B1 0000441
DE
103G00000X
Clinical Neuropsychologist
PS 004797-L
PA
103TC0700X
Clinical Psychologist
B1 0000441
DE
103TC0700X
Clinical Psychologist
PS 004797-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001187272003
—
PA
01
—
001661440
BS PERSONAL CHOICE
—
01
—
0427479000
AMERIHEALTH
—
01
—
0488565000
MAGELLAN
—
01
—
1000033037
DELAWARE PHYSICIANS CARE
—
05
—
1000033037
—
DE
01
—
214951
COMPPSYCH
—
01
—
221962
VALUE OPTIONS
—
01
—
3350135
AETNA
—
01
—
70659
CIGNA BEHAVIORAL HEALTH
—
Enumeration date
01/23/2006
Last updated
04/30/2018
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